Clinical Review Nurse - Concurrent Review

- The NICU Specialty Team is a nationally aligned clinical team dedicated to ensuring medically complex neonatal members receive high-quality, coordinated, and cost-effective care through specialized utilization management and care management.

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  The current hiring need is an extended FMLA leave.

  
  
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  The team has a collaborative, accountable, and continuous-learning culture, with key initiatives including simplification, regionalization, multidisciplinary NICU rounds, standardized clinical workflows, enhanced training, performance analytics, and authorization-to-claims alignment.

  
  
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  This position is part of a broader staffing and stabilization effort, with continued recruiting and backfill needs anticipated as we align resources to workload and build a sustainable team with strong NICU clinical expertise.

  
  
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  We will have 1 additional position for Beeline that we will be entering for expansion in the LA market.

  
  
  
  
  
  
  

  Candidate Requirements
  Required: Bachelor's of Science in Nursing College Degree	Preferred:
  Required: Registered Nurse	Preferred: RNC-NIC
  Years of experience required: This is for a NICU experienced RN. Must have 3-5 years bedside NICU experience. Disqualifiers: No previous NICU experience. Single state nursing license. Restricted nursing license. Additional qualities to look for: Organization, self-starter, accountability, positive bedside manner, team player
  Top 3 must-have hard skills stack-ranked by importance	1	Strong NICU Clinical Judgement
  2	Curiosity and Critical Thinking
  3	Accountability and Collaborative Communication